EmailMeForm
2023-2024 Back To School Registration
We are excited to get kindergarten through high school students ready for school :)
Please fill out all the information in order to set up an appointment.
CHILDREN MUST BE PRESENT AT THE APPOINTMENT TO BE SERVED!
Parent/Guardian Name
*
First
Last
Phone
*
###
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###
-
####
Email
*
How do you prefer us to contact you?
*
Text Message on our cell phone
Email
**We will only communicate through email or text message in the interest of time and efficiency. PLEASE NO PHONE CALLS! Thank you :)
Will your children be:
*
Going to School
Home Schooled
Distance Learning
What City do you live in?
*
Bismarck
Mandan
Other
Living Arrangements
*
Own Home
Mobile Home
Rent an apartment or home
Motel/Hotel
Shelter
Other
APPOINTMENTS ARE ONLY FOR STUDENTS KINDERGARTEN THROUGH HIGH SCHOOL
Please provide the following information for children who will be attending the event.
CHILDREN MUST BE PRESENT AT THE APPOINTMENT TO BE SERVED!
Family Information
Child's First Name
Grade for 2023-2024 (kindergarten through High school ONLY)
Birthdate
School Attending 2022-2023
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
Student (Elementary - High School ONLY)
- - - - - - - - - - - - - - - - - - - - THANK YOU!!! - - - - - - - - - - - - - - - - - - - - -